Isosorbide mononitrate (Ismo 40 Retard) 40 mg: Supply issue

Supply issue Active

Due to delays at the factory, stock of Ismo 40 Retard (Pharmacode 2447355) has run out.

21 August 2026 | Update

Stock of Ismo 40 Retard has now run out. People will need a new prescription for a different medicine to continue treatment.

The supplier is expecting the next shipment to arrive in October 2026.

Affected product

Healthcare Logistics, the supplier, advises that the next shipment of this product is delayed because of delays at the factory. This follows a separate supply issue affecting this product earlier in the year.

Chemical: Isosorbide mononitrate

  • Presentation: Tab long-acting 40 mg
  • Brand: Ismo 40 Retard
  • Pharmacode: 2447355
  • Subsidy: $9.80
  • Measure / Qty: per 30

Schedule listing for isosorbide mononitrate(external link)

Alternative option: 60 mg long-acting Duride

We have clinical advice that the 60 mg long-acting tablet, either whole or broken in two for a 30 mg dose, may be an appropriate alternative. The 60 mg Duride tablet is scored and dividable.

Half-tablet doses (30mg) can be taken without affecting the modified release properties of Duride, as long as they are not crushed or chewed. 

Medsafe datasheet for Duride 60 mg long-acting [PDF](external link)

This requires a new prescription.

  • Presentation: Tab long-acting 60 mg
  • Brand: Duride
  • Pharmacode: 2202964
  • Subsidy: $13.50
  • Measure / Qty: per 90 

Resupply expected October 2026

The supplier expects the next shipment of this product to arrive in October 2026.

Who to contact

If you have questions about this issue, email enquiry@pharmac.govt.nz

Please include as much information as you can about the product (presentation, brand, Pharmacode) and who your wholesaler is.

Sign up to our email list for regular emails about supply issues and more(external link)